"O" shares - Application form - Foresight Group
"O" shares - Application form - Foresight Group
"O" shares - Application form - Foresight Group
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FORESIGHT 4 VCT PLC<br />
ENHANCED BUYBACK APPLICATION FORM<br />
IF YOU DO NOT wISH TO PARTICIPATE IN THE ENHANCED BUYBACK<br />
(“EBB”) THEN DO NOT COMPLETE AND RETURN THIS APPLICATION FORM<br />
Section 1: Shareholder details<br />
Name(s) and address(es) of Shareholder(s)<br />
Section 2: Enhanced Buyback<br />
Shareholder<br />
Reference<br />
Number<br />
Total number of Ordinary<br />
Shares held as at 1st March<br />
Box 1A<br />
Box 1B<br />
Entire Shareholding<br />
If you wish to participate in the EBB in respect of ALL of your Shares (the figure<br />
in Box 1B) then please tick Box 2A to the right. You should not select this option<br />
unless you are sure you have held all of your Shares for more than five years.<br />
Should you wish to check the number of <strong>shares</strong> you have held for the requisite time,<br />
please contact Kate Henderson of <strong>Foresight</strong> (KHenderson@foresightgroup.eu).<br />
(✓) Box 2A<br />
Other Number of Shares<br />
If you wish to participate in the EBB in respect of only part of your Shareholding<br />
then please enter the number of Shares that you wish to participate in Box 2B, to<br />
the right (this number of <strong>shares</strong> must be no greater than the figure in Box 1B). Box 2B<br />
IN ORDER TO PARTICIPATE IN THE EBB YOU MUST RETURN YOUR SHARE CERTIFICATE wITH THIS<br />
APPLICATION FORM. FORMER SHAREHOLDERS OF “FORESIGHT 5 VCT PLC” or “ACUITY 3 VCT PLC”<br />
SHOULD ENCLOSE THE CERTIFICATE ISSUED TO THEM ON 7 MARCH 2012 FOLLOwING THE MERGER<br />
wITH FORESIGHT 4 VCT PLC.<br />
Section 3: Declaration<br />
I confirm (i) that I have read and understood the terms and conditions of the Circular dated 5 March 2013 issued by<br />
<strong>Foresight</strong> 4 VCT PLC; and (ii) that by executing this <strong>Application</strong> Form as a deed I accept the same in relation to my<br />
participation in the EBB.<br />
Executed as a deed by:<br />
Signature(s) of Shareholder(s) Date:<br />
Name of Witness<br />
Signature of Witness<br />
Section 4: Contact Details<br />
Receipt of applications will be acknowledged by the Receiving Agent by email only where an email address is<br />
provided. Please also provide a telephone number so the Receiving Agent can contact you by telephone in case<br />
of any queries.<br />
Email Address (written clearly)<br />
Telephone Number<br />
Section 5: Checklist<br />
ITEM Check (✓)<br />
Have you entered your Shareholder reference number in Box 1A?<br />
Have you completed Section 2?<br />
Have you included your share certificate?<br />
Have you signed the top box in Section 3, had your signature witnessed and entered a date?<br />
Have you provided contact details in Section 4?<br />
Return to The City Partnership (UK) Limited using the reply paid envelope provided
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FORESIGHT 4 VCT PLC<br />
NOTES ON THE ENHANCED BUYBACK APPLICATION FORM<br />
PLEASE READ THESE INSTRUCTIONS AND TERMS AND CONDITIONS ON PAGES 13 TO 23 OF<br />
THE CIRCULAR CAREFULLY BEFORE COMPLETING THIS APPLICATION FORM.<br />
PLEASE ENSURE THAT YOUR APPLICATION FORM IS RETURNED TO THE RECEIVING AGENT,<br />
THE CITY PARTNERSHIP (UK) LIMITED BY NO LATER THAN 3.00 P.M. ON 3 APRIL 2013 wHERE<br />
YOU ARE REQUESTING SUBSTITUTION SHARES BE ALLOTTED IN THE TAX YEAR 2012/13<br />
AND 30 JUNE 2013 wHERE YOU ARE REQUESTING SUBSTITUTION SHARES BE ALLOTTED<br />
ONLY IN THE TAX YEAR 2013/14.<br />
If there are any changes to your name or address then please cross out and amend the incorrect<br />
details accordingly. If the figure for the number of your Shares is incorrect, please contact the City<br />
Partnership (UK) Limited on 0131 243 7210 to obtain a replacement <strong>Application</strong> Form.<br />
If the incorrect figure is as a result of you having sold all or some of your Shares then you will be asked<br />
to provide the details of the person to whom your Shares were transferred and those of the bank,<br />
stockbroker or agent through whom the transaction was effected.<br />
If you wish to participate in the EBB in respect of ALL of your Shares then please tick Box 2A.<br />
If you wish to participate in the EBB for a fewer number of Shares than the total number of Shares that<br />
you hold then please enter the number of Shares that you wish to participate in Box 2B (note that this<br />
must be less than the figure in Box 1B).<br />
IN ORDER TO PARTICIPATE IN THE EBB YOU MUST RETURN YOUR SHARE CERTIFICATE<br />
wITH THIS APPLICATION FORM. FORMER SHAREHOLDERS OF “FORESIGHT 5 VCT PLC” or<br />
“ACUITY 3 VCT PLC” SHOULD ENCLOSE THE CERTIFICATE ISSUED TO THEM ON 7 MARCH<br />
2012 FOLLOwING THE MERGER wITH FORESIGHT 4 VCT PLC.<br />
You must sign the top box in Section 3 in front of a witness, who should also sign where indicated, and<br />
the date should be entered where requested. The witness must be a person who is over 18 years of<br />
age. The witness can be your spouse but must not be another joint holder and the same witness<br />
may witness on behalf of all or any of the Shareholders.<br />
By signing and delivering this <strong>Application</strong> Form, and in consideration of the Company agreeing to<br />
process this <strong>Application</strong> Form, you agree that the application(s) made on this <strong>Application</strong> Form shall be<br />
irrevocable and you warrant that your application is valid and binding and is/are made in accordance<br />
with any applicable legal requirements and you agree as follows:<br />
I understand that the proceeds from any Shares sold will not be returned to me but will be reinvested in<br />
Substitution O Shares under the Open Offer as set out in the Circular dated 5 March 2013.<br />
By applying to participate in the Tender Offer, I confirm that I am applying the proceeds of the sale of<br />
my Shares so tendered in subscribing for Substitution O Shares in the Company. I acknowledge that I<br />
have read the full terms of the Offer as set out in the Circular.<br />
In order that the Receiving Agent be able to contact you in case of any queries and acknowledge<br />
receipt of your application, please provide a contact email address and telephone number.<br />
Please answer the questions in Section 5 before submitting your <strong>Application</strong> Form.
FREQUENTLY ASKED QUESTIONS<br />
1) Can I just sell my <strong>shares</strong> under the EBB and receive the monies?<br />
No, Shareholders are unable to only sell their Shares under the EBB and receive<br />
the monies. Participating Shareholders must both sell their <strong>shares</strong> and use the<br />
proceeds to buy Substitution Shares. If you just wish to sell your Shares then<br />
you will need to sell them in the market through a broker.<br />
2) what happens if I do not participate?<br />
Shareholders do not have to participate if they do not wish to and should not<br />
participate in respect of Shares they have held for less than five years.<br />
The underlying investments will remain the same and there will be no adverse<br />
impact for Shareholders who do not participate. If you do not wish to participate<br />
then you do not need to return the <strong>Application</strong> Form.<br />
3) I am unable to find my share certificate.<br />
Please contact Computershare on 0870 703 6385 and a replacement share<br />
certificate can be arranged. Please note that in order to receive a replacement<br />
share certificate you will need to sign an indemnity confirming that you have<br />
lost your share certificate and that there will be a small administration charge.<br />
4) what happens if I miss the Closing Date?<br />
We will not be able to process any applications received after the Closing Date.<br />
5) what happens if the figure for the total number of my Shares as stated in<br />
Box 1B is incorrect?<br />
Please contact <strong>Foresight</strong> (KHenderson@foresightgroup.eu) who will provide<br />
you with a replacement <strong>Application</strong> Form. You will need to alert <strong>Foresight</strong> if<br />
the reason for there being an incorrect number is due to you having sold part<br />
of your shareholding. If this is the case, you will be asked to provide details<br />
of the new Shareholder or the bank, stockbroker or agent through whom the<br />
transaction was effected.<br />
6) what if I have sold all of my Shares?<br />
Please contact <strong>Foresight</strong> (KHenderson@foresightgroup.eu) to provide details<br />
of the new Shareholder and/or the bank, stockbroker or agent through whom<br />
the transaction was effected. If you have sold all of your Shares then you<br />
cannot participate in the EBB.
To be completed by authorised intermediaries of Execution-Only Investors only:<br />
Contact name:<br />
Firm name:<br />
Address:<br />
Postcode:<br />
Tel:<br />
Email address:<br />
FSA number:<br />
I confirm that I have provided execution-only services to the applicant and have not provided<br />
any general advice or advice on the merits of participating in the Enhanced Buyback<br />
Please provide details of your bank account so that trail commission can be paid to you via BACS.<br />
Name of Bank or Building<br />
Society:<br />
Branch:<br />
Account Name:<br />
Sort Code:<br />
Account Number:<br />
(please quote all digits and zeros)<br />
Email address for<br />
commission statements:<br />
The Company, <strong>Foresight</strong> and the Receiving Agent do not accept responsibility if any of the<br />
details provided by you are incorrect.<br />
NP0213-988